Individual provider Active NPI

Linda M. Vero, D.C.N., MA, RD, CDE

  • Registered Dietitian
  • Woodcliff Lake, NJ
National Provider Identifier
1609236462
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
860026 Issued in NJ
Practice address
172 Broadway FRNT BLDG
Suite 202
Woodcliff Lake, NJ 07677-8077
Phone
(201) 724-9646
Fax
(201) 215-0683
NPI assigned
Mar 7, 2016
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 860026 NJ Primary

Addresses

Primary practice location

172 Broadway FRNT BLDG
Suite 202
Woodcliff Lake, NJ 07677-8077

Mailing address

PO Box 581
Mahwah, NJ 07430-0581
Phone (201) 724-9646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505001125 NJ Practitioner - Registered Dietitian Or Nutrition Professional 4082913496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

172 Broadway
FRNT BLDG
Woodcliff Lake, NJ 07677-8077
Phone (201) 724-9646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
860026NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Vitality & Conditioning LLC Dietitian, Registered CurrentSince Mar 20, 2016 Accepting new patients

Locations

172 Broadway
Ste 202
Woodcliff Lake, NJ 07677
Phone (201) 724-9646

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1609236462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074300581",
            "telephone_number": "201-724-9646",
            "fax_number": "201-215-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 BROADWAY FRNT BLDG",
            "address_2": "SUITE 202",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778077",
            "telephone_number": "201-724-9646",
            "fax_number": "201-215-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERO",
        "first_name": "LINDA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.N., MA, RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "860026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.